Increased risk of acute kidney injury in the first part of an ultra‐trail—Implications for abandonment - Archive ouverte HAL Accéder directement au contenu
Article Dans Une Revue Physiological Reports Année : 2024

Increased risk of acute kidney injury in the first part of an ultra‐trail—Implications for abandonment

Résumé

Abstract Acute kidneys injuries (AKIs) have been described in marathon and trail running. The currently available data allows assessment of before/after comparisons but does not allow an analysis of what happens during the race. A multidisciplinary assessment protocol was performed during the first trail of Clécy ( Normandy France ) in November 2021. This allowed an initial assay to be carried out, then at the end of each of the 6 loops of 26 km, and finally after 24 h of recovery. The race extends over 156 km in hilly terrain and 6000 m of elevation gain (D+). The level of impairment according to the RIFLE classification was defined for each runner at each assay. Fifty‐five runners were at the start, and the per protocol analysis involved 36 runners (27 men and 9 women, 26 finishers). Fifteen (41.7%) of the riders presented at least one result corresponding to a “RIFLE risk” level. After 24 h of rest, only one runner still had a “RIFLE Risk”. The distance around the marathon seems to be the moment of greatest risk. For the first time, we find an association between this renal risk and the probability of abandonment. Many runners are vulnerable to kidney damage during long‐duration exercise, which is why it's important to limit risk situations, such as the use of potentially toxic drugs or hydration disorders. The consumption of NSAIDs (nonsteroidal anti‐inflammatory drugs) before or during an ultra‐distance race should therefore be prohibited. Attention should be paid to hydration disorders.
Fichier principal
Vignette du fichier
Physiological Reports - 2024 - Vauthier - Increased risk of acute kidney injury in the first part of an ultra‐trail.pdf (1007.77 Ko) Télécharger le fichier
Origine Fichiers éditeurs autorisés sur une archive ouverte

Dates et versions

hal-04563688 , version 1 (05-06-2024)

Licence

Identifiants

Citer

Jean‐charles Vauthier, Charlie Touze, Benoit Mauvieux, Corentin Hingrand, Pierre‐louis Delaunay, et al.. Increased risk of acute kidney injury in the first part of an ultra‐trail—Implications for abandonment. Physiological Reports, 2024, Physiological Reports, 12 (9), pp.e15935. ⟨10.14814/phy2.15935⟩. ⟨hal-04563688⟩
6 Consultations
0 Téléchargements

Altmetric

Partager

Gmail Mastodon Facebook X LinkedIn More